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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIANE BOLDUC, M.D.

Active Sole Proprietor

DIANE BOLDUC, M.D. is a Family Medicine healthcare provider located in ROSEBURG, Oregon. NPI 1174537047 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ROSEBURG, OR

Registration Details

NPI Number
1174537047
Provider Type
Individual
Gender
Female
NPI Issued
Jul 28, 2006 (20.048883730916 yrs)
Last Updated
Jul 9, 2007
License
MD23487 (OR)
Sole Proprietor
Yes

Practice Information

Address
340 MEDICAL LOOP
ROSEBURG, OR, 974701645
Browse OR providers · Browse ZIP 97470
Phone
5414645907
Fax
5414648481
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in ROSEBURG, OR

Name Credential NPI
DR. CLYDE A. KEYS MD 1952300881
DR. CURTIS K HANST MD 1083614648
LAURENCE M. SHARP DO 1780677146
DR. THOMAS S TURK M.D. 1730161571
AIMEE FOLSOM HANSEN FNP 1376527788
SARAH LYNN AGSTEN DO 1104803691
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.